Individual
DR. ROBERT D GREGORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2401 WOOTEN BLVD SW, SUITE K, WILSON, NC 27893-4464
(252) 291-0735
(252) 291-2890
Mailing address
2401 WOOTEN BLVD SW, SUITE K, WILSON, NC 27893-4464
(252) 291-0735
(252) 291-2890
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
617
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03647
BC/BS OF NC AS PSYCHOLOGI
NC
05
—
6000006
—
NC
Enumeration date
09/21/2006
Last updated
07/09/2007
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